Bucks
Should companies cover the extra costs of domestic partner benefits?
ScienceDaily (Nov. 15, 2011) — In 1972, Sweden became the first country in the world to legislate healthcare for transsexualism within the state-financed healthcare system. In an international perspective, this was considered to be radical. It was expected that the life situation of people in the transsexual group would improve, now that state-financed healthcare was available for this group. A thesis published at the University of Gothenburg, Sweden, however, describes this care as an oppressive gender-conservative system that causes suffering for transsexual persons.
"Those who qualify for gender-corrective measures also known as sex reassignment treatment, become legally acknowledged as the gender in which they recognise themselves. But a prerequisite for this is that they lose something: namely the possibility of having biological children, since the law states that a transsexual person must be sterilised (sterile) ," says ethnologist Signe Bremer. Her thesis describes studies of autobiographical blogs and in-depth interviews with people at various stages of gender-corrective care.
"Waiting is sometimes experienced as being nearly impossible to bear," says Signe Bremer.
Her thesis shows that the physical bodies that transsexual persons wish to correct, play an important role in the assessments made by the psychiatric system about who is considered to be suitable for gender correction. A transsexual woman who demonstrates visible beard stubble, for example, may receive negative comments, while a transsexual man with a muscular body and flat chest may receive compliments. In summary, a "suitable" body can be described as a body that health care staff consider compatible with that gender that the transsexual person recognise him/her-self.
"The investigations seem to be based on the belief that a good life as a legally recognised woman or man goes hand in hand with a person's ability to blend in. The investigators fail to realise that every person has, in fact, a unique appearance. Furthermore, I have shown that it is often the investigating personnel, and not the transsexual person, who emphasises the importance of being able to blend in, just as any 'normal' woman or man," says Signe Bremer.
According to accurate gender corrective health care logic, people's bodies should be unequivocally materialised as one or the other sex. A woman should, for example, not have a penis and a man should not be able to get pregnant. Signe Bremer's results show not only that a similar way of thinking is prevalent within the group of transsexual persons, but also that transsexual people exercise resistance against the heteronormative principles of the healthcare system. Far from all transsexual women, for example, feel the aversion to a penis that medical practitioners maintain as prerequisites for 'authentic' transsexualism. Many transsexual men are also critical to the requirement that the uterus must be surgically removed.
"The gender investigation tends to focus heavily on the genitals. One of the transsexual women I interviewed did not express sufficient rejection of her sexual organ, and the investigation was delayed because of this," says Signe Bremer.
Signe Bremer is critical to the common perception of transsexualism as synonymous with the experience of being born in the wrong body.
"We live in a society that is dominated by the idea that there are only two types of people -- feminine women who are born with a vagina and masculine men who are born with a penis. Healthcare for transsexual persons is a part of society, and this idea therefore also characterises the conditions required for gender-corrective measures. The work presented in my thesis shows that this often has serious consequences for the life of an individual," says Signe Bremer.
Trans specific health care is part of society, consequently the same gender norms and beliefs characterizes prevailing conditions for gender correction. My thesis shows that this often has severe consequences for individual persons' lives, says Signe Bremer.
ScienceDaily (Nov. 16, 2011) — Aging and health issues facing lesbian, gay, bisexual and transgender baby boomers have been largely ignored by services, policies and research. These seniors face higher rates of disability, physical and mental distress and a lack of access to services, according to the first study on aging and health in these communities.
The study, released Nov. 16 and led by Karen Fredriksen-Goldsen and colleagues at the University of Washington's School of Social Work, indicates that prevention and intervention strategies must be developed to address the unique needs of these seniors, whose numbers are expected to double to more than 4 million by 2030.
She presented some of the study's key findings last week during a congressional briefing.
The study highlights how these adults have unique circumstances, such as fear of discrimination and often the lack of children to help them. Senior housing, transportation, legal services, support groups and social events were the most commonly cited services needed in the LGBT community, according to the study.
Fredriksen-Goldsen and her co-authors surveyed 2,560 lesbian, gay, bisexual and transgender adults aged 50-95 across the United States. The researchers found that the study participants had greater rates of disability, depression and loneliness and increased likeliness to smoke and binge-drink compared with heterosexuals of similar ages.
Those seniors are also at greater risk for social isolation, which is "linked to poor mental and physical health, cognitive impairment, chronic illness and premature death," Fredriksen-Goldsen said. Study participants were more likely to live alone and less likely to be partnered or married than heterosexuals, which may result in less social support and financial security as they age.
Histories of victimization and discrimination because of sexual orientation or gender identity also contribute to poor health. The study showed that 80 percent had been victimized at least once during their lifetimes, including verbal and physical assaults, threats of physical violence and being "outed," and damaged property. Twenty-one percent of respondents said they were fired from a job because of their perceived sexual orientation or gender identity. Nearly four out of 10 had considered suicide at some point.
Twenty-one percent of those surveyed did not tell their doctors about their sexual orientation or gender identity out of fear of receiving inferior health care or being turned away for services, which 13 percent of respondents had endured. As one respondent, a 67-year-old gay man, put it, "I was advised by my primary care doctor to not get my HIV tested there, but rather do it anonymously, because he knew they were discriminating."
Lack of openness about sexuality "prevents discussions about sexual health, risk of breast or prostate cancer, hepatitis, HIV risk, hormone therapy or other risk factors," Fredriksen-Goldsen said.
The good news? "LGBT older adults are resilient and living their lives and building their communities," Fredriksen-Goldsen said. Of the study's respondents, 91 percent reported using wellness activities such as meditation and 82 percent said they regularly exercised. Nearly all -- 90 percent -- felt good about belonging to their communities. And 38 percent stated that they attended spiritual or religious services, indicating a promising social outlet.
Social connections are key, the study noted because, unlike their heterosexual counterparts, most lesbian, gay, bisexual and transgender seniors rely heavily on partners and friends of similar age to provide assistance as they age. While social ties are critical, there may be limits to the ability of those older adults to "provide care over the long-term, especially if decision-making is required for the older adult receiving care," Fredriksen-Goldsen said.
The study was funded by the National Institutes of Health and the National Institute on Aging.
I stumbled onto a video of 5, 7 year olds performing an incredibly provocative dance to the song “single ladies” by Beyonce. At first glance, one is simply disgusted to see such young girls dressed in such a scandals way. As they start to dance, that feeling is overpowered by a sense of how incredibly talented these miniature people are. They are fantastically trained and talented dancers, and they execute their moves with grace and synchrony. They are passionate and attack the dance full heartedly. As the dance continues, there is more booty shaking, and dropping it to the floor. You are overwhelmed at how effectively these young girls can communicate sexuality, and you begin feeling guilty for even momentarily being impressed. My last blog post was on the horrifying spectacle that is child beauty pageants, and while this is of a similar flavor, it mad me question my original thoughts. My question becomes, to what extent do these children understand the connotations of the moves they execute. And if they do not understand, does that mean they are not harmed by it. Children learn many actions, but they only learn their significance from adults. If the children do not understand sexuality and that what they are doing is sexual, then how can they be objectified? If they think they are just dancing, and pulling the difficult moves that they have been taught, then who’s to say it is harmful. In fact, our disgustful judgments potentially say more about societies views of sexuality and perversion. Am I perverted because I was unable to see their dance as nothing more than a dance, and my mind could not help to add sexuality to people that did not intend to portray it? What does that say about my conception of sexuality?
Working for a company as rich as Google comes with an incredible number of fringe benefits: the free food, the free laundry, the doctor on duty at company headquarters and the impressive five months of maternity leave with full pay and benefits, to mention a few.
Google is trying to eliminate the added tax burden for employees like Bennet Marks, left, and his husband, Kim Harris.
So it is not entirely surprising that the company is about to introduce another set of benefits that pushes the envelope — this time, geared toward its gay and lesbian workers.
On Thursday, Google is going to begin covering a cost that gay and lesbian employees must pay when their partners receive domestic partner health benefits, largely to compensate them for an extra tax that heterosexual married couples do not pay. The increase will be retroactive to the beginning of the year.
“It’s a fairly cutting edge thing to do,” said Todd A. Solomon, a partner in the employee benefits department of McDermott Will & Emery, a law firm in Chicago, and author of “Domestic Partner Benefits: An Employer’s Guide.”
Google is not the first company to make up for the extra tax. At least a few large employers already do. But benefits experts say Google’s move could inspire its Silicon Valley competitors to follow suit, because they compete for the same talent.
Under federal law, employer-provided health benefits for domestic partners are counted as taxable income, if the partner is not considered a dependent. The tax owed is based on the value of the partner’s coverage paid by the employer.
On average, employees with domestic partners will pay about $1,069 more a year in taxes than a married employee with the same coverage, according to a 2007 report by M. V. Lee Badgett, director of the Williams Institute, a research group that studies sexual orientation policy issues.
So Google is essentially going to cover those costs, putting same-sex couples on an even footing with heterosexual employees whose spouses and families receive health benefits.
The company began to look at the disparity after a gay employee pointed it out, said Laszlo Bock, Google’s vice president for people operations (also known as human resources). Google, by the way, says its benefits team seriously considers any suggestions on how to expand its coverage.
“We said, ‘You’re right, that doesn’t seem fair,’ so we looked into it,” Mr. Bock said. “From that initial suggestion, we said, let’s take a look at all the benefits we offer and see if we are being truly fair across the board.” As a result, the company also decided to make a few other changes that would help gay employees, including eliminating a one-year waiting period before qualifying for infertility benefits and including domestic partners in its family leave policy — going beyond the federal Family and Medical Leave Act, which requires employers to provide up to 12 weeks’ leave in a one-year period to recover from a medical condition or to care for a relative.
The extra compensation to cover the domestic partner tax will apply only to same-sex domestic partners, Mr. Bock said, because heterosexual couples can avoid the added tax by marrying. (Same-sex couples can make their unions official in several states, but their relationship will not be federally recognized.)
The additional pay will also cover the dependents of the employee’s domestic partner. The changes will be retroactive to Jan. 1, and will apply only to workers in the United States.
It is hard to say how many of Google’s 20,600 employees will be affected by the changes, but the company’s internal gay and lesbian group — they call themselves Gayglers — has about 700 members (though some members may simply support their gay and lesbian co-workers).
So what’s the cost of Google’s largess? Mr. Bock declined to provide details but said the decision was less about money and more about equalizing benefits. “If you were to add it all up, it’s not like we are talking hundreds of thousands per employee,” he said. “It will cost some money, but it was more about doing the right thing.”
The Kaiser Family Foundation says that 36 percent of large companies that offer health benefits provide coverage for same-sex domestic partners, and more than half of Fortune 500 companies provide domestic partner coverage — but few pay the extra costs of that coverage.
In California, even more companies may provide coverage because the state requires insurance products issued there to be extended to registered domestic partners.
Still, Google isn’t the first company to “gross up” their employees’ pay, as raises to cover taxes are known. According to the Human Rights Campaign, a handful of other organizations, including Cisco, Kimpton Hotels and the Gates Foundation, do so as well. Benefits experts said a few other companies provided the extra compensation, though it still amounted to a relatively small number.
But given the competitive nature of the benefits culture in Silicon Valley, where companies often offer extra perks to attract top employees, Google’s decision could lead to policy reviews, experts said.
“It could have a ripple effect, prompting other employers, and particularly employers in the same industry, to take a look at their own benefits package and see whether it would be appropriate to extend those benefits,” said Kathleen Murray, principal in the health and benefits consulting business in San Francisco for Mercer, the consulting firm. “When you have a high-profile company doing anything, that tends to get into the mind of the culture, and it can have a more diffuse effect.”
The company’s announcement came on the heels of a decision by the Labor Department to permit employees who are acting as parents to take leave under the Family and Medical Leave Act to care for a child, even if there are no legal or biological ties. But Google’s move would allow employees to care for a partner, too.
Congress has tried to address the fact that same-sex couples pay more for domestic partner health coverage. The health care overhaul legislation passed by the House last November included language that would have eliminated the tax on employer-provided coverage. But the provision did not make it into the final legislation signed byPresident Obama in March.
Google “has decided it’s in their best interest to treat employees with same-sex partners fairly,” said Daryl Herrschaft, who oversees theWorkplace Project of the Human Rights Campaign Foundation, “and that includes picking up the slack when federal law doesn’t recognize the diversity of today’s work force.”